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Home My WebLink AboutBLDE-23-004101 Commonwealth ofNI Official Use Only f Massachusetts Permit No. BLDE-23-004101 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/25/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. a Location(Street&Number) 106 PINE ST §-08— Owner or Tenant DONALD MANNICH Telephone No. Owner's Address 106 PINE ST,YARMOUTH PORT, MA 02675-1839 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Recessed lights&upgrade devices Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Michael J Maguire Licensee: Michael J Maguire Signature LIC.NO.: 25035 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 148 AUDREYS LN, MARSTONS MLS MA 026481631 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 i< 47443 l CO l3 t v1: Sl, .- 6 0 /` (A)i/i C ( // CEIV-E ® LOArAtOlrfl+/aL[t►GI Viduidaciuddstle Official Use Only JA L Petnrit No. 3--L4t of rviced BUILD 1 NG.-, M E Occupancy and Fee Checked + `,�! O RD OF FIRE PREVENTION REGULATIONS [Rev. I/O7] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / - 20 — .6 2 ? City or Town of: far A. o W-. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work de,ribed below. Location(Street St /Q‘ A., c 57" 1 a,dife v-1 i../7, .,..- Owner or Tenant (B a h 4 Al /f, ail t�. Telephone No. Owner's Address � _. Is this permit in conjunction with a building j permit? Yes 0 No [R'— (Check Appropriate Box) J Purpose of Building ,Si�j�t� /�a..,/ Utility Authorization No. Existing Service /s e- Amps / /2 i..Volts Overhead l l Undgrd 0 No.of Meters / New Service Amps / Volts Overhead 0 Undgrd Q No.of Meters Number of Feeders and Ampacityeu Location/and Nature of Proposed Electrical Work: �«, ,,-,,4,,/��v,-/,s% /), 70/'ss�]'-�, s , 6( d A,... .rs /A'S.f'////fat," �/�i r /�e c..is r+V I/'w�. _ �i"ma's.46/2i,'er,e1, Completion of the followingtable mg to waived by the! for of Wires. kii No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.of i Traasformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires Swimming �rnd.Pool Above 0 train-d. 0 Blrat and oftery EmergencyUnits Luting ,°: No.of Receptacle Outlets No.of On Burners FIRE ALARMS No.of Zones .; No.of Switches No,of Gas Burners No.of Detection and I>titiating Devices Total No.of Ran ges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number'Tons_.__W Prat.of Self-Contained- Totals: ......" Detection/Ale Devices No.of Dishwashers Space/Area Heating KW Local❑ MCn nnectio e n 0 Other No.of Dryers Heating Appliances KW Security o y o No. Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters 1CW Signs Ballasts No.of Devices or q nivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDevices r No.of Devices or Equt�' ent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:/oV—Z o 23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [OND ❑ OTHER 0 (Specify:) I certify,lender the pains and penalties ofperjury,that the information on this application is tree and complete. FIRM NAME: _ LIC.NO.: " /� S Licensee://r�l s.� /f s o,.�••) Signature__ tc_ LIC.NO.: �,,S 3 (If applicable,enter"exe t"in the lkRise number line.) Bus.Tel.No.:7 4 S / Q 2, 3 Address: I t67�..y IL"//n.4,44,' M,'`7.v s:4-IP p-- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 70 CC# /7,6